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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376623021
Report Date: 01/10/2020
Date Signed: 01/10/2020 12:22:17 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/30/2019 and conducted by Evaluator Diana Sanchez
COMPLAINT CONTROL NUMBER: 20-CC-20191030170819
FACILITY NAME:FARAH, NASRA FAMILY CHILD CAREFACILITY NUMBER:
376623021
ADMINISTRATOR:NASRA FARAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 616-3752
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:14CENSUS: 1DATE:
01/10/2020
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Nasra Farah, ProviderTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating over capacity
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Diana Sanchez, made an unannounced complaint inspection today and met with Nasra Farah to deliver complaint finding on the above allegation. Current census is 1.
This agency has investigated the complaint alleging the facility is operating over capacity. During the investigation LPA interviewed provider, parents, reviewed children’s records and time sheets. Licensee denies the allegation, explaining that she always ensures she is operating within her license capacity.
There is insufficient evidence to support and no witnesses to corroborate the above allegation. LPA was unable to determine whether or not the above allegation happened. Therefore, based on the information obtained the allegation is deemed unsubstantiated.
A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occurred.
An exit interview was conducted with Nasra Farah and a copy of this report left at the facility. LPA observed provider placing the Notice of Cite Visit on the wall visible to parents during today’s inspection.
NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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